Customer Service Medical

Keren Franco

*** ****** **, *********, ** *****

Cell: 925-***-****

aceekz@r.postjobfree.com

SUMMARY

Administrative Assistant experienced at registering patients, scheduling appointments, recording, and filing patient medical records. Knowledge of general practice and procedures of bookkeeping, accounting, auditing, and computer systems. Skills in performing complex clerical work; making accurate mathematical computations; communicating effectively orally and in writing; understanding and following complex instructions; analyzing and evaluating individual situations, reaching sound conclusions, and making appropriate recommendations; establishing and maintaining cooperative working relations with the public.

HIGHLIGHTS

• Patient-focused care

• Appointment scheduling

• Telephone Skills

• Fluent in English and Spanish

• Computer Knowledge Microsoft Excel and Microsoft Word

• General office work

• Assist patients with applying for Medi-cal

• Gateway,Family pact,and entering

information in the computer.

• Ability to operate variety of manual/

automated office equipment including the

computer, fax machine photocopy

machine.

• Medical terminology knowledge

• Knowledge of HMOs, Medicare and Medi-

Cal

• Maintains strict confidentiality

• HIPAA compliance

• Skilled Filing and data archiving

• Experience with customer service.

• Insurance processing

• Flexible and Hardworking

• Ability to work independently and exercise

good judgment with appropriate

supervision.

• Strong analytical and problem solving

• Able to collect, analyze and research

complex or diverse information

• Compassionate

• Strong Organizational skills

• Organizational and time management skills

and ability to work under pressure.

ACCOMPLISHMENTS

Increased office organization by developing more efficient filing system and customer database protocols.

EXPERIENCE

Bilingual Intake Patient Advocate, 03/2014 to 05/2014

Diversified Health care Resources - San Leandro, CA

Interview and screen patients at bedside or by telephone. Evaluate patients within established guidelines to assist in identifying federal, state, and county programs that patients may qualify. Obtain current demographics and inquire about current circumstances. Initiate and complete the application process for benefits by assisting applicants with the completion of all necessary paperwork. Ensure all insurance, demographic and eligibility information is obtained and entered into the system accurately and notify appropriated hospital staff. Perform clerical tasks, such as typing and filing, and have knowledge of government regulations. Work with colleagues

to ensure timeliness of tasks and support them with follow up communications and cover other advocates as needed. Document and update efforts in computer system to ensure the hospital have updates on the outcome and successful completion of cases and approvals. Work with county/state/ federal agency workers and representatives to create a positive working relationship. Request Medical Records, home visits, field visits, and any necessary items to expedite cases. Update case managers, social workers, financial counselor on urgent and critical in-house patients by acting as the liaison between the hospital and office.

Human Service Specialist/ Enrollment Counselor, 06/2010 to 03/2014

La Clinica Pittsburg Community Clinic - Pittsburg, CA

Register and Interview patients to learn about their financial needs and to discuss any existing coverage. Prepare necessary paperwork to process insurance and submit. Then follow up with patient. Answers a high volume of calls. Created and maintained spreadsheets using advanced Excel functions and calculations to develop reports and lists. Assist Spanish speaking patients when applying for Medi-cal, County and State programs. Organized files, developed spreadsheets, faxed reports and scanned documents. Verify Insurance eligibility. Provide information to individuals and families on health coverage. Assist individuals and families to properly complete various health coverage enrollment application, including helping individuals understand and access affordable health insurance coverage, answering questions about applications, reviewing and explaining documents that are required for applicants, and refer applicants, as necessary, to any applicable office of health insurance consumer assistance to address consumer grievances, complaints, or questions about their health plan coverage, or a determination.

Medical Records/ Clerk, 04/2007 to 06/2010

La Clinica Concord Community Clinic – Concord, CA

Answered a high volume of calls. Managed the receptionist area. Scheduled patient

appointments. Filled patient Medical Records in chart. Dispersed incoming mail to correct recipients throughout the office. Made new Medical Record Chart for the physician. Greeted Customers and translation for patients. Ordering supplies and used office machines Wrote clear and detailed clinical phone messages for physicians. Cash handling and record keeping.

Customer Service / Cashier, 05/2006 to 03/2007

Kohl's - Pleasant Hill, CA

Described merchandise and explain operation of merchandise to customers. Computed sales

prices, total purchases and processed payments. Operated a cash register to process cash, check and credit card transactions. Maintained up-to-date knowledge of store policies regarding payments, returns and exchanges.

Cashier, 04/2004 to 05/2006

Choice Fashion - Concord, CA

Computed sales prices, total purchases and processed payments. Operated a cash register to process cash, check and credit card transactions.

EDUCATION

Certificate: Certified Enrollment Counselor, 2014

Covered California - California, USA

Certified Enrollment Counselor through the State of California.

Certificate: Medical Terminology, 2013

Pittsburg Adult Education - Pittsburg, CA, USA

Application Assistant Training Program: 2012

Certification - Pittsburg, CA

Certification of Assistant Training Program for the Healthy Families and Medi-cal programs.

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